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Oregon Department of Environmental Quality • Locate all drain lines in soil absorption system [Yes ❑No Total length of drain lines 100 (ft) Lengths determined by['Physically uncovering portions of system/probing DWrittenrecords ❑Fish tape❑✓Electronic locator❑✓ camera • Absorption area appears to be free from roads,vehicular traffic, structures, livestock,deep-rooted plants etc. ❑✓Yes ❑No If you answered"No,"please describe below: The drain line runs in between 2 trees. • Absorption area appears to be free from surface water runoff and downspouts Eyes No • Evidence of ponding in absorption area or distribution unit(s) nYes n✓No • The soil absorption system replacement area assigned in the permit record appears to be intact: ❑Yes ❑No ® Replacement area not identified in permit record If you answered"No,"please explain below: No permits found • Additional Comments: The line from the tank goes out 7'and then turns into drain line. The effluent water was in the first 25'of the drain line and then tapered off to no water. There is minor dirt and roots in the drain line. The septic system is operating as designed at this time. 6. Sand Filter System There are different sand filter system designs used in Oregon.Not every sand filter system will contain all of the components mentioned below,e.g.pumps.The owner of a sand filter system permitted on or after January 2,2014 must maintain an annual service contract with a certified Maintenance Provider. Maintenance records should be available from the system owner, or the contracted Maintenance Provider. Please attach copies of the previous two years of maintenance records to this evaluation form. • The septic system has a sand filter nYes [No (If"No," skip the rest of section 6) • Type of sand filter ❑ Intermittent ❑ Recirculating ❑ Bottomless • Sand filter container appears free from defects,leaks and signs of deterioration: ['Yes ENo Page 5 of 8